Kansas City Lasik eye doctor
Refractive Surgeon

Frequently Asked Questions

Cost of LASIK is $1,500 * per eye all inclusive
*cash or credit discount

1. Can I have both eyes done the same day?

Answer: Yes. Both eyes are now done simultaneously. Patients enjoy more rapid visual recovery and appreciate the fact that they have less "down time".

2. Is there any discomfort with the LASIK procedure? Back to top

Kansas City Refractive Surgery

Nano Nore, Professor of Art

Here I experienced the finest, most thorough eye examination I have ever had. Every aspect of LASIK was explained. The procedure itself was accomplished to perfection. My eyes are now 20/15.
Answer: During the procedure, the eye is anesthetized with topical drops and there is very little discomfort. Following refractive eye surgery, the eyes will tear and burn for a while. After being checked immediately following the procedure, we recommend that patients go home and take a nap. Even if they cannot sleep, resting with the eyes closed for an hour or so helps the eyes return to their normal state.

3. What are your results at the Vision Correction Center? Back to top

Answer: Results of over 4000 consecutive cases were presented in San Diego at the American Society of Cataract and Refractive Surgery in April, 2001 and in that study, 98% of patients were able to see 20/20 or better. Patients must keep in mind that the results of refractive eye surgery procedures are related to your expectations. In some cases, the 20/20 vision may not be as good as with glasses or contacts, and in some cases it may be better. Your eye is not a piece of plastic or glass and may have some subtle nuances known to exist with living tissue. Glasses for example, have their own set of disadvantages including peripheral distortion and minification of images. In some cases, the side effects of contact lenses exceed those that may occur following refractive eye surgery.

4. How many procedures has Dr. Couch performed? Back to top

Answer: Dr. Couch, Kansas City refractive eye surgeon, has been involved with refractive vision correction for over 15 years and has performed over 15,000 surgical eye cases. His entire practice is now devoted to vision correction surgery. He has been recognized as a VISX Star Surgeon placing him in the top percentages of laser surgeons using the VISX laser nationally.

5. Are there side effects to LASIK and what are they? Back to top

Answer: Yes, all procedures have side effects including LASIK. Most side effects are considered transient. For example, tearing and burning is common immediately following the procedure. The vision will be "blurry" immediately following surgery and improve over time. How much time? Vision is better in 3 hours, even better in 3 days, and continues to improve over the next several weeks to months. That does not mean to say that you may not be 20/20 the next day, but even so the quality of the vision continues to improve.

Halos around lights at night are the most commonly reported side effect and occur to some degree in virtually everyone initially. With the newer lasers and broader treatment zones, halos have been reduced. The larger the patient's pupil, the higher the degree of nearsightedness, farsightedness, or astigmatism, the greater the chance that halos will occur. Although in some cases these may be permanent, many people state that the halos do not exceed that which they experienced with contact lenses or glasses.

Refractive EyeSurgery Kansas and Missouri

Travis "Jethro" Claussen #963 Professional Motorcycle Racer

I had battled with contacts and glasses for way too long and was completely unhappy with them both. I am sure there are many people out there like me. If so, to those people, I would highly recommend this procedure that Dr. Couch performs to all of you. He will tell you exactly what will and won't happen.
6. Are there differences in lasers used for LASIK? Back to top

Answer: Yes and no. All lasers utilized for LASIK deliver 193 nanometers of ultraviolet light. How that ultraviolet light is delivered helps to differentiate various lasers. There is a trend towards smaller spots, wider treatment areas, and tracking devices to help monitor eye movement during the procedures. Each laser company will attest to their laser's superiority. What is more important, is your surgeon's confidence in the reproducibility of results, the reliability of the laser, and the surgeon's own nomogram based on that laser's results. A nomogram is a program that a surgeon uses to enter a treatment plan based on historical data of clinical results for certain age groups and refractive errors. Vision Correction Centers monitor their results on an ongoing basis and make appropriate changes in their nomogram as deemed necessary. It is at this time, a highly refined tool.

7. If my vision is not perfect, can I have an enhancement to make it better? Back to top

Answer: In some cases, our planned vision correction may turn out to be too much (overcorrected) or not enough (undercorrection). Whether an enhancement procedure can be performed depends on the degree of the under or over correction, and whether astigmatism or irregular astigmatism are present. In some cases the amount may be too small to safely correct. For example, if a patient is 20/20 and has 0.50 diopters of residual refractive error, the risk outweighs the potential benefit of another procedure.

Enhancement is a funny word that vision correction surgeons use. It suggests that we are going to make your vision better. It does not say that we are going to try to make your vision better but may make it worse. In some cases, the risks of enhancements are greater than the risks of the initial procedure.

Our Lasik vision correction enhancement rate is extremely low compared to national standards. We take great effort in trying to obtain the best possible results on the first procedure. That is one reason that the Lasik surgeon will check your numbers personally when you are seen for an evaluation.

8. Are there fees for enhancements and is there a time limit? Back to top

Answer: At our Kansas Vision Correction Center there are no fees for vision correction enhancements. If a patient chooses mono vision and later changes their mind, there is a fee to "undo" the mono vision. There used to be no time limit for enhancements, however, due to the long term liability of such a promise our legal counsel has forced us to place a 12-month restriction with case to case consideration after that time.

9. Have any questions? Contact us by e-mail Back to top


Refractive surgeon Jeffrey Couch is a fellowship trained surgeon specializing in Vision Correction. He performs thousands of refractive surgery procedures, including LASIK, each year in the Kansas City area servicing Kansas and Missouri.


You may contact us directly at
  913.529.5600 or  Toll free @ 877.584.5333

This website is about refractive eye surgery in Missouri areas and is for informational purposes only. It should not be used as a substitute for professional medical advice. The information about lasik eye surgery does not constitute a patient doctor relationship. Please contact us at Vision Correction Center for a free consultation with one of our lasik eye surgeons.

Vision Correction Centers of Missouri - Lasik Surgery for Missouri - Copyright 2001, 2002

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